Temple City Convalescent Hospital Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

TEMPLE CITY CONVALESCENT HOSPITAL CORPORATION

Practice address

5101 Tyler Ave
Temple City, CA 91780-3682

Phone

(626) 443-3028

Fax

(626) 443-1988

NPI assigned

Mar 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Israel Bastomski

Title

President/Ceo

Phone

(323) 397-6512

Specialties & licenses 1

Addresses

Other names 1

• Temple City Convalescent Hospital Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1447525191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 TYLER AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803682",
            "telephone_number": "626-443-3028",
            "fax_number": "626-443-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 TYLER AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917803682",
            "telephone_number": "626-443-3028",
            "fax_number": "626-443-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE CITY CONVALESCENT HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "BASTOMSKI",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-397-6512"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple City Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tai K. Mao DDS, Inc.
• Irene Yihui Tan, DDS
• Le Tang
• Matthew Tao, PT, DPT
• Tat Health Group LLC
• Temple City Dialysis Facility, Inc.
• Temple City Healthcare, LLC
• Temple City Professional Pharmacy Inc.
• Temple City Unified School District
• Temple Garden Home #3

• Skilled Nursing Facility in Temple City, CA
• Providers in Temple City, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.